The TRICARE East Region uses a claims auditing tool to review claims on a prepayment basis. This auditing tool is an automated clinical tool that contains specific auditing logic designed to evaluate provider billing for CPT coding appropriateness and to monitor overpayment on professional and outpatient hospital service claims. Humana Military updates the claims auditing tool periodically with new coding based on current industry standards. Follow CPT coding guidelines to prevent claims auditing editing from resulting in claim denials. Claims auditing edits will be explained by a message code on the remittance advice.
1The complete set of code edits is proprietary and, as such, cannot be released to the general public.
Providers disputing the reject or denial of services based on auditing can correct and resubmit under "corrected claim" with supporting documentation on a claim-by-claim basis. Please use these guidelines for reconsideration with a corrected claim. View reconsideration coversheet/tipsheet